Abboud Foot & Ankle Associates, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3233 Issued in FL

Legal business name

ABBOUD FOOT & ANKLE ASSOCIATES, LLC

Practice address

38039 Arbor Ridge Drive
Suite B
Zephyrhills, FL 33541-1347

Phone

(813) 862-9664

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mazen Adib Abboud, D.P.M.NPI 1669417143

Title

Owner

Phone

(813) 943-3228

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazen A Abboud, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dade City, FL
  • NPI 1669417143
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790871317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38039 ARBOR RIDGE DRIVE",
            "address_2": "SUITE B",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-862-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38039 ARBOR RIDGE DRIVE",
            "address_2": "SUITE B",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-862-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOUD FOOT & ANKLE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_middle_name": "ADIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-943-3228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.